Shamar Hope Haven Residential Treatment Center
2719 TRUXILLO ST, Houston, TX 77004 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 13
- Ages
- 10-17
- Hours
- -
- Director / administrator
- Sharon Evans
- Phone
- (713) 942-8822
- Regulated since
- Nov 19, 2004
- HHSC IDs
- Operation 247988 · number 838067
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 7 | 3 | Illness & medication (1), Supervision & ratios (2), Discipline & child guidance (1), Records & paperwork (3) |
| 2025 | 12 | 6 | Supervision & ratios (3), Discipline & child guidance (1), Records & paperwork (3), Other (5) |
| 2024 | 22 | 10 | Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (4), Safety & premises (1), Staff background & training (6), Records & paperwork (2), Other (5) |
| 2023 | 9 | 8 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (3), Safety & premises (1), Other (3) |
| 2022 | 7 | 6 | Cleanliness & sanitation (1), Supervision & ratios (2), Safety & premises (1), Staff background & training (1), Records & paperwork (1), Other (1) |
| 2021 | 4 | 2 | Cleanliness & sanitation (1), Supervision & ratios (1), Other (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2026 Inspection
No violations cited on this visit.
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Aug 5, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork
The Serious Incident Report did not include the child's age, gender, or date of admission. There were two staff identified in the narrative, as being involved in the incident. However, the report did not include the name of the second staff involved in the incident.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2026-09-22. Correction verified 2026-09-22.
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Records & paperwork
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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2026 Inspection
No violations cited on this visit.
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Jul 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Report · Deficiencies cited
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Discipline & child guidance Serious
Multiple children and staff interviewed confirmed hearing staff on duty calling a child at the facility names.
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2026-09-04. Correction verified 2026-09-10.
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Discipline & child guidance Serious
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Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
The operation failed to seek follow-up medical care with a general practice pediatrician as recommended by Texas Children's Hospital, for a child in care.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2026-07-27. Correction verified 2026-07-22.
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Records & paperwork
During the course of the investigation, RCCR made several attempts to request records. The records were not made available until after the third request and 13 days had passed.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2026-07-27. Correction verified 2026-07-22.
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Supervision & ratios Serious
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios
The child service plan reviewed included another child's name that was placed at operation approximately 11 months prior. Additionally, the child's date of birth was inaccurate.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-03-11. Correction verified 2026-03-09.
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Illness & medication Serious
The child medication log reviewed was observed prefilled of the amount given approximately 7 hours before evening administration.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2026-03-11. Correction verified 2026-03-12.
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Records & paperwork
The log provided did not include the intake report number, age, and gender of the child's unauthorized absence.
HHSC 748.453(a)(5) — Unauthorized Absence - Annual summary log must include the intake report number, if report was made to CCR or DFPS
HHSC risk weight: Medium. Corrected 2026-03-11. Correction verified 2026-03-09.
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Supervision & ratios
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Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 23, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 23, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Report · Deficiencies cited
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Other Serious
According to child discharge paperwork from the hospital on 11-8-25, the discharged doctor recommended child to follow up with his primary care physician in the next 48 hours after discharge but that follow up was not done.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2025-12-19. Correction verified 2026-01-08.
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Other Serious
A child in care sustained injury under his left eyes during physical altercation with another resident.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-12-19. Correction verified 2026-01-08.
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Other Serious
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Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2025 Inspection
No violations cited on this visit.
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Oct 5, 2025 Report · Deficiencies cited (self-report)
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Other Serious
A child previously placed at the facility was discharged with his personal belongings such as clothes and shoes in a trash bag. Multiple staff interviewed confirmed child was discharged with his belongings in trash bag.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2025-11-06. Correction verified 2025-11-13.
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Other Serious
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Oct 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 25, 2025 Inspection
No violations cited on this visit.
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Aug 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 1, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios
The operation did not provide requested documents in a timely manner after multiple attempts.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2025-10-08. Correction verified 2025-10-01.
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Other
The summary log did not include the gender and age of the child on an unauthorized absence. The log provided also did not include the return time for the child.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-10-08. Correction verified 2025-09-29.
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Supervision & ratios
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 1, 2025 Report · Deficiencies cited
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Other Serious
Multiple children in care stated that staff cuss at them.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2025-07-30. Correction verified 2025-08-25.
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Other Serious
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Jun 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
Two children in care disclosed a staff member threatened residents.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2025-07-11. Correction verified 2025-07-28.
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Discipline & child guidance Serious
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May 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
Upon reviewing the annual summary log, it was determined that certain required components were missing in accordance with Minimum Standards including: -The gender of the adolescent. -The name of the caregiver responsible for the child at the time of absence. -The intake report number. -Whether law enforcement was contacted including the name of the law enforcement agency and the number of the police report.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2025-06-02. Correction verified 2025-05-29.
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Records & paperwork
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May 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2025 Inspection · Deficiencies cited
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Records & paperwork
During the review of 2 children files, multiple dates of birth and multiple date of placements were observed in the children files.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-03-12.
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Records & paperwork
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Mar 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the walkthrough of the facility, one cereal box was observed to be left open on top of the kitchen counter.
HHSC 748.3441(n) — Food Preparation-Food must be protected from contamination
HHSC risk weight: Medium High. Corrected 2025-02-19. Correction verified 2025-02-26.
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Records & paperwork
During the review of a childs file, wrong date of placement was observed in 3 serious incident reports for 2-13-25, 2-10-25 and 2-7-25.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2025-02-21. Correction verified 2025-02-26.
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Supervision & ratios Serious
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Feb 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2025 Inspection · Deficiencies cited
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Supervision & ratios
One open energy drink was found inside the fridge during the walkthrough of the kitchen
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-01-30.
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Supervision & ratios
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Jan 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2024 Inspection · Deficiencies cited
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Other
Child was admitted on 12-13-24 and 72 hours preliminary service plan was completed 12-17-24.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-12-17.
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Supervision & ratios
During the review of staff file, multiple dates of hire was noticed. Date of hire in staff list says 9-22-24 while date of hire inside the staff file says 9-16-24. Also, during the review of one childs file, multiple dates of admissions were identified. The date of admission in the childs file cover says 5-13-24 while the date of admission in the childrens list says 5-10-24.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-12-17.
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Other
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Dec 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 25, 2024 Inspection · Deficiencies cited
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Other Serious
During the walkthrough of the facility, leaking sewer pipe was observed by the front of the building close to the back gate. Feces, flies and waste water were observed in the area of the leak. Damaged floor tiles were also observed inside children restroom upstairs. Some part of the building roof was observed covered with plastic due to missing shingles.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2024-11-27. Correction verified 2024-12-04.
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Other Serious
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Nov 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2024 Inspection · Deficiencies cited
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Records & paperwork
During the review of one discharged childs file, no discharge summary was noticed inside the file and child was discharged on 7-3-24
HHSC 748.1439(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2024-10-14. Correction verified 2024-10-15.
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Records & paperwork
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Oct 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2024 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the review of the operations record today, it was noted that the last fire inspection was conducted on 5-10-23 which expired on 5-10-24.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2024-10-08. Correction verified 2024-10-04.
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Supervision & ratios Serious
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Sep 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2024 Inspection · Deficiencies cited
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Other
During the walkthrough today, 1 childs pillow in side 3 was missing case and also 2 childrens pillow in side 4 was missing cases. Staff was informed about it and she corrected the concern.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-30.
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Supervision & ratios
During the review of one staff file, no information regarding annual perfomance evaluation was observed in the file.
HHSC 748.363(13) — Personnel records - Include any documentation of the person's performance with the operation.
HHSC risk weight: Medium Low. Corrected 2024-08-05. Correction verified 2024-08-05.
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Staff background & training Serious
During the review of staff file, it was noted that the last time the EBI annual training was last taken on 4-10-23.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2024-08-05. Correction verified 2024-08-05.
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Staff background & training Serious
During the review of one staff file, It was noted that the last annual Truama training was taken on 6-29-22.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2024-08-05. Correction verified 2024-08-05.
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Staff background & training Serious
It was observed during the review of staff file that the Annual Normalcy training was last taken by staff on 6-29-22
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2024-08-05. Correction verified 2024-08-05.
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Staff background & training Serious
During the review of staff file, it was observd that annual psychotropic medication training was last taken on 6-29-22
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2024-08-05. Correction verified 2024-08-05.
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Other
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Jul 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2024 Inspection · Deficiencies cited
-
Staff background & training
2 different dates of hire was observed during the review of one staff file. The date of hire on the employee orientation checklist says 1-25-25 while the date of hire on the staff list for the staff says 2-9-24. This was corrected at inspection.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-16.
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Cleanliness & sanitation
During the walkthrough of the facility, open ceiling was observed in staff restroom downstairs and operation staff was notified about this issue months ago and the hole has not been closed. Missing and damaged floor tiles were noticed inside the children room and common area upstairs. Damaged sheet rock wall was observed by the stairs. Also, rotten window wood frame was observed in the children room and stair area.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-07-19. Correction verified 2024-07-26.
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Cleanliness & sanitation
During the walkthrough of the facility upstairs, we observed a child sleeping on a damaged bed. The mattress of the bed appears to be damaged and not looking comfortable for the child.
HHSC 748.3365(b)(1) — Bedding-must provide each child with a clean and comfortable mattress
HHSC risk weight: Medium. Corrected 2024-07-17. Correction verified 2024-07-26.
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Staff background & training
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Jun 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 6, 2024 Report · Deficiencies cited
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Other Serious
A staff member entered a child's room during sleeping hours and engaged in physical contact. Although conflicting statements were provided regarding the nature of the contact, a prudent caregiver would not allow themselves to be in a situation where physical contact with a child, alone in a bedroom, after sleeping hours could be misconstrued.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-08-29.
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Other Serious
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Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 28, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the review of one childs file, it was discovered that the child initial service plan has not been completed by the operation. Child was admitted on 4-2-24.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2024-05-31. Correction verified 2024-06-05.
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Illness & medication Serious
During the review of children medication record, multiple children medication record for May 27th PM medication and May 28th AM medication was missing and all the children were at school during the inspection.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2024-05-31. Correction verified 2024-06-05.
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Illness & medication
During the review of children medication record, one childs medication log for CYCLOBENZAPINE 5MG was observed without the name of the prescribing physician
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2024-05-31. Correction verified 2024-06-05.
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Safety & premises Serious
During the walkthrough of the facility today, several physical site issues were identified such as damaged wall in the children room and common area, Damaged ceiling in staff restroom and peeling paints inside the children rooms.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2024-05-31. Correction verified 2024-06-05.
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Staff background & training Serious
During the review of staff files, 1 direct care staff did not have current psychotropic medication training. Staff last training was on 10-7-22.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2024-06-04. Correction verified 2024-06-05.
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Supervision & ratios
-
May 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2024 Inspection · Deficiencies cited
-
Records & paperwork
During the review of 1 childs file today, different date of placement was observed. The child date of placement in the childrens list and youth intake documentation sheet says 1-25-24 while the date of placement in his preliminary service plan says 1-26-24. The error was corrected by treatment director.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-02-27.
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Records & paperwork
-
Feb 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2024 Report · Deficiencies cited (self-report)
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Other
The log does not contain information on if LE or Licensing was contacted. It also doesn't contain age, gender, or the name of the caregiver responsible for child at the time of AWOL.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-03-22. Correction verified 2024-03-22.
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Other
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Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
Staff failed to intervene timely during the time 2 children were engaged in physical altercation at the facility and one of them sustained bloody nose and required medical attention. EMS was called and victim child was provided medical care.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-11-20. Correction verified 2023-11-28.
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Other Serious
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Sep 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
During walkthrough inspection, a pair of scissors was observed in childrens bathroom. Scissors were removed by staff upon request.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2023-09-12. Correction verified 2023-09-16.
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Cleanliness & sanitation Serious
-
Sep 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2023 Inspection · Deficiencies cited
-
Illness & medication Serious
Upon inspection of facility, it was noted that medication is being stored in a separate container without label instructions. Currently the separate containers have only child's name and am/pm for the weeks medication. It is noted that medication is stored in two separate locations.
HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2023-09-01. Correction verified 2023-09-12.
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Illness & medication Serious
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Aug 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 26, 2023 Report · Deficiencies cited
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Other Serious
Staff was not able to intervene as the children gained access to a chemical due to staff driving. One staff and two residents confirmed hand sanitizer was kept in the van and the sanitizer came from the van.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-09-27. Correction verified 2023-09-28.
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Safety & premises Serious
Children gained access to a bottle of hand sanitizer and were able to ingest it.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2023-09-27. Correction verified 2023-09-28.
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Other Serious
-
Jul 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 13, 2023 Report · Deficiencies cited
-
Other Serious
Staff used profanity while supervising kids at the facility.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-07-19. Correction verified 2023-07-24.
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Other Serious
-
May 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 26, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During todays inspection, it was observed that the operation fire inspection expired on March 26th, 2023. The operation paid for the fire inspection today April 26th, 2023 and they are hoping the inspection will be completed by next week.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2023-05-10. Correction verified 2023-05-17.
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Supervision & ratios Serious
-
Mar 27, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
The operation was not able to provide inspector with evidence that 2 week's notice was sent to DFPS caseworker. The operation is given till 4:30pm tomorrow 3-28-23 to send HM Inspector evidence confirming that the 2 weeks prior notice was sent to DFPS caseworker. By 4:30pm on 3-28-23, the operation was still not able to provide Inspector with evidence that the 2 weeks prior notice was sent to DFPS Caseworker.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2023-04-04. Correction verified 2023-04-03.
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Supervision & ratios
-
Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2023 Assessment · Deficiencies cited
-
Supervision & ratios Serious
During a review conducted on January 31, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2023-02-01. Correction verified 2023-02-01.
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Supervision & ratios Serious
-
Jan 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
During the course of the investigation staff were not present when children walked out of the front door and were gone for 3 hrs. Staff could not remember they were when children went AWOL.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2022-12-29. Correction verified 2022-12-27.
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Supervision & ratios Serious
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
During a review conducted on July 29, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Your operation received a High-weighted citation in a pattern/trend category on June 6, 2022. Specifically, the operation was cited for 748.3301(a)(1) ? Living Space and Physical Environment. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
HHSC 748.535(2) — Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2022-07-30. Correction verified 2022-07-30.
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Supervision & ratios Serious
-
Jul 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 6, 2022 Inspection · Deficiencies cited
-
Other Serious
Inspector observed open electrical switch outlet on the kitchen wall and also exposed kitchen vent cable which was not properly secured. However, the issues were corrected at inspection.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected at inspection. Corrected 2022-06-06.
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Other Serious
-
May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2022 Report · Deficiencies cited
-
Records & paperwork
A child was restrained but the incident was not appropriately documented on the EBI Report.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-04-15. Correction verified 2022-04-12.
-
Records & paperwork
-
Feb 2, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
During the walkthrough of the facility, Inspector observed a hole on the wall in the childrens room upstairs.
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2022-02-09. Correction verified 2022-02-15.
-
Cleanliness & sanitation Serious
-
Feb 1, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
The operation allowed a contracted group therapist to work in the presence of children before receiving a cleared background check determination.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-02-03. Correction verified 2022-02-03.
-
Safety & premises Serious
The van has only 8 operable seat belts out of a total of 14 seats.
HHSC 748.4041 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: High. Corrected 2022-02-08. Correction verified 2022-03-03.
-
Staff background & training Serious
-
Jan 18, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 20, 2021 Inspection · Deficiencies cited
-
Other
It was observed during the review of a childs file that the 72 hours preliminary service plan was missing. The child was admitted on 12-3-21 and was confirmed by the Administrator that the preliminary service plan has not been completed.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2021-12-28. Correction verified 2022-01-06.
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Other
-
Dec 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 23, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2021 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
The van used to transport children had ripped seats, where the metal frame was showing and rear vent covers. The check engine, air bag, and tire pressure maintenance lights were illuminated and the A/C was not working. The Registration and Inspection documents for the van were also expired.
HHSC 748.4001(b) — General requirements-must ensure the safety of all children during any transportation that the operation provides
HHSC risk weight: High. Corrected 2021-12-28. Correction verified 2021-11-11.
-
Supervision & ratios Serious
-
Oct 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2021 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
During the walkthrough at the operation, mold was observed in the children restroom bathtub, stained ceiling in staff restroom from water leak, open electrical outlets in unit 4 area and peeling paint was observed in the wall.
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2021-10-29. Correction verified 2021-10-28.
-
Cleanliness & sanitation Serious
-
Oct 8, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2021 Inspection · Deficiencies cited
-
Other
It was observed that a child in care did not have a matress protector on their bed.
HHSC 748.3365(b)(2) — Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
HHSC risk weight: Medium. Corrected 2021-10-08. Correction verified 2021-10-22.
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Other
-
Sep 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 19, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.